Information Collection

Employee Possessor Questionnaire

IC 12849 under ICR 201212-1140-001 · OMB 1140-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1140-0072 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ATF F 5400.28 Employee Possessor Questionnaire	Form and Instruction
ATF F 5400.28 Employee Possessor Questionnaire F540028 (January 2013).pdf	Form and Instruction

IC Title:

Employee Possessor Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 27 CFR 555

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ATF F 5400.28	Employee Possessor Questionnaire	F540028 (January 2013).pdf		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	3,334	3,334
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.